49000
Exploration of abdomen
Code typePrimary
Payment statusActive (A)
Global period90-day
Pricing with Related Codes
RVU Breakdown
Component
Office
Facility
Work
12.23
12.23
Practice expense
6.58
6.58
Malpractice
3.01
3.01
Total RVU
21.82
21.82
Payment Policy & Modifiers
Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Bilateral -50Team surgeon -66Prof / tech split